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March 30, 2018  

SAMHSA Funds 3 States Hit Hardest by Opioid Crisis



SAMHSA will award supplemental grant funding to Massachusetts, New Hampshire, and West Virginia -- three states that have been hit especially hard by the opioid crisis.

This additional funding will bolster the treatment and prevention work under way through the Opioid State Targeted Response (STR) grants previously awarded to states. The determination of need for the states was based on a competitive peer review process.

The purposes of these supplements are to expand or enhance prevention, treatment and recovery-support efforts in the states hardest hit by the nation’s opioid epidemic. The funds are intended to target areas of greatest need.

Read more about these supplemental funds.

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Help the FDA Improve Clinical Trials for Opioid Use Disorder

As part of the Patient Focused Drug Development (PFDD) Initiative, which seeks to improve clinical trials to speed the development of new medications and other treatments, the FDA is collecting input about opioid use disorders (OUD) from people who have experienced it, their family members, and health care providers.

The survey will help the FDA better understand which symptoms of opioid use disorder have the greatest impact on patients’ ability to function in their daily lives, their experiences with currently available treatments for opioid use disorder and opioid overdose, and priorities for development of new treatments.

Take the survey here.

The FDA and NIDA are also hosting a public meeting on PFDD for OUD on April 17, 2018, from 10am-4pm, in which they hope to obtain more input from the public on this initiative. Find details about the meeting here.


CTN Trial Progress

GraphStudy results for Open Studies as of the March 2 trial Progress Report.

CTN-0064 - Linkage to HCV Care. Enrolled 113

CTN-0067 - CHOICES Scale-Up. Enrolled 3

CTN-0068 - ADAPT-2 for Methamphetamine Use Disorder. Enrolled 160

CTN-0069 - OUD in the Emergency Department. Enrolled 241

CTN-0073 - Detecting Cocaine Use Using Smart watches. Enrolled 18

CTN-0075 - Physician-Pharmacist Collaboration - OUD
Enrolled 5

Total Enrolled in all Studies: 24,646

This project is supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute, but the information on this site has not been reviewed by NIDA and does not necessarily reflect the views of the Institute.

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Conferences, Trainings, and Events

Addiction Health Services Research 2018: Call for Abstracts

AHSR logoThe 2018 Call for Abstracts as well as Conference Registration and Housing are now open! We invite you to submit an abstract for the 2018 Addiction Health Services Research (AHSR) Conference in Savannah, Georgia, October 17-19. Abstracts may be submitted as an individual or panel/full symposium format and must be received by 5:00 PM EST on May 1, 2018. AHSR meeting-related information is available on the conference website.

Key Dates:

AHSR 2018 hosts are Augusta University Institute of Public and Preventive Health, University of Georgia Owens Institute for Behavioral Research, University of Georgia School of Public & International Affairs, and Georgia State University School of Social Work. They look forward to reviewing your abstract and hope to see you this year in Savannah!

AHSR logoThe Surgeon General's Report: A Public Health Approach (webinar)

Join H. Westley Clark, MD, JD, MPH on Tuesday, April 17th from 12-1:30pm ET for a presentation reviewing the 2016 Surgeon General's report, "Facing Addiction in America."

This seminal report serves as a key document outlining critical issues associated with addiction health and addiction health services research. At a time when the country is experiencing an opioid misuse epidemic, marijuana continues to be the most commonly used illegal drug. The SG's report functions as a visionary template for change to help inform policy makers, researchers, health care professionals, and the general public about the need for a full continuum of services for SUD.

Sponsored by the Addiction Technology Transfer Center Network (ATTC). Read more and register here.

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News from the Nodes

Northeast Node

The Fire Chief of New Hampshire's Manchester Fire Department, Daniel Goonan, attended the 2018 CTN Annual Steering and Scientific Meeting in North Bethesda, MD to present Safe Station to CTN researchers, partners, and affiliates.

Group photoSafe Station is a novel community approach to the opioid epidemic -- the first of its kind in the nation. Anyone can walk into any of the 10 fire stations in Manchester, NH, at any time of the day or night, and ask for help with a substance use concern. The fire station responds, with the help of the city’s emergency medical services provider (American Medical Response [AMR]), by checking the person’s vitals and assessing substances of use.  They also arrange rides via Lyft (city-funded contract) to either the local regional access point (RAP), Granite Pathways (for treatment referral, case management, and other resources), or to the Farnum Center for after-hours access to a "stabilization unit." If the person cannot be medically cleared due to other health conditions or recent use of substances, AMR will transport the individual to a local emergency department for a more detailed medical evaluation.

Since its inception in May 2016, Safe Station has aided over 3,300 people from 160 different communities in New Hampshire, and over 15 other states, as far away as Alaska.

Most of those who utilize Safe Station cite a lack of ability to get into treatment programs when calling on their own, or they receive a "we can take you in 'x' number of days, weeks, or even months" answer. Safe Station attempts to capture that moment when the person either wants to seek help and provides immediate linkage to the RAP. "These are the poorest of the poor, the kind of people who don’t have insurance and don’t know who to call or where to go when they are ready. The Fire Department is a part of the community, a place people are comfortable coming for help because that’s what we do. We help people," Chief Goonan explained.

In the last year, Safe Station has responded to an 11% increase in overdoses but has seen a 24% decrease in fatalities. Though Chief Goonan advised that it’s impossible to tell whether the decrease in fatal overdoses is attributed to Safe Station, the city of Manchester has seen an influx of more potent and varied substances (i.e., carfentanil, U-47700, fentanyl) during the same time when the decrease in fatal overdoses has been observed. Safe Station programs have launched in many communities across the country, including Nashua NH, Rochester NH, Del Ray Beach FL, Lake County FL, Malden MA, Lynn MA, Brockton MA, Fire Department of New York NY, Los Angeles County Fire CA, Providence RI, Santa Fe NM, and Burlington VT (to name a few).

The Northeast Node is currently assisting in the evaluation of the Safe Station Model in Manchester, NH. Read more about the NIDA-funded study here.

New England Consortium

NEC NodeResearchers from the New England Consortium Node continue to inform key stakeholders across state and local governments about findings from CTN studies in addressing the opioid epidemic.

Screenshot of Harvard GazetteOn Friday March 2, 2018, Shelly F. Greenfield, M.D., M.P.H. was a key organizer of a one-day conference, "Responses to the Opioid Epidemic: Innovating Policy to Enhance Treatment and Community Response" at PwC in Boston, MA.

The conference, organized by McLean Hospital and PwC, brought together key stakeholders, including the Governor of the Commonwealth of Massachusetts, the CEO of Partners HealthCare, and the Secretary of Health and Human Services in Massachusetts, with key experts in treatment, policy, and public health to build bridges between government, healthcare, academia, and the private sector to tackle the opioid crisis.

Hilary Connery, M.D., Ph.D., Sarah Wakeman, M.D., and Roger Weiss, M.D., participated in a panel discussion on key issues in opioid use disorder treatment.

A re-cap of the conference in the Harvard Gazette, “Pulling our punches in opioid fight” (Alvin Powell), features a Q&A with Shelly F. Greenfield, M.D., M.P.H. and was published on March 19, 2018.


Western States

The Western States Node in collaboration with the ATTC Network Coordinating Office, The Great Lakes ATTC, the Pacific Southwest ATTC, and the Northwest ATTC, is pleased to co-host a national webinar titled “Treatment and Prevention of Opioid Use Disorder: Overview.”

Dennis McCarty, co-PI for the Western States Node, will lead the webinar on April 3, 2018 (registration for this event is full).

The webinar summarizes a paper in the 2018 Annual Review of Public Health that reviews the history of treatment for opioid use disorders in the United States, identifies opioid use disorder as a chronic problem with an elevated probability of a return to use, summarizes treatment recommendations, discusses prevention of opioid overdoses, and outlines treatment options available in Canada and some European countries.

The papers from the 2018 Annual Review of Public Health are now available on line in advance of print: https://www.annualreviews.org/journal/publhealth

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New in the CTN Dissemination Library

Cigarette Smoking and Quit Attempts Among Latinos in Substance Use Disorder Treatment. Pagano A, et al. American Journal of Drug and Alcohol Abuse 2018 (in press).

Generalizability of the Findings from a Randomized Controlled Trial of a Web-Based Substance Use Disorder Intervention. Susukida R, et al. American Journal on Addictions 2018 (in press).

Menthol Cigarette Smoking Among Individuals in Treatment for Substance Use Disorders. Gubner NR, et al. Addictive Behaviors 2018;80:135-141.

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From the ATTC

ATTC Messenger, March 2018
Featured article: The Evolution of Federal Drug Control Policy and its Impacts on Treatment for Opioid Use Disorder: A Brief History by Dennis McCarty, Kelsey Priest, and P. Todd Korthuis).

ATTC/NIATx Service Improvement Blog

Midwest Consortium on Problem Gambling and Substance Abuse: Upcoming Conference Celebrates 15 Years
Carol Spiker, Kansas Dept for Aging and Disability Services

Responsible Gambling Programs
Christine Reilly, National Center for Responsible Gaming

Also of Interest

Brochure screenshotAddressing the Opioid Overdose Crisis and Other Drug Use in Your Community
The March 15, 2018 issue of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) e-newsletter, Honoring Health: Resources for American Indians and Alaska Natives, is focused on opioid use disorder in AIAN communities. Resources include brochures, posters, fact sheets, screening tools, websites, and items for parents and youth.

Find previous issues and subscribe to receive future ones on the NIAMS Honoring Health website.




Published by the CTN Dissemination Library of the Pacific Northwest Node
Alcohol & Drug Abuse Institute, University of Washington

This project is supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol & Drug Abuse Institute, but the information on this site has not been reviewed by NIDA and does not necessarily reflect the views of the Institute.

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